When People Say Good Luck

I was in the shower this morning listening to Episode 55 of The Poker Mindset podcast.

One of the topics they discussed was wishing people good luck. Like saying “good luck on the table tonight”. Gareth made a great comment along the lines of (paraphrasing) so the 3,000 hours of playing on the tables and 500 hours of study, come down to good luck? I hope not.

It’s been a while since I consciously thought about this, but I rarely wish people good luck unless it is with their Lotto ticket or something that truly requires luck. There is no skill in parting with cash for a raffle. Otherwise I do feel that wishing someone luck, is almost a sign of disrespect. You know, like a sarcastic “Good luck with that!”

I’m waiting for approval from ACC for back surgery and when it finally comes, I don’t want people saying good luck. I’m relying on the surgeon having completed years of diligent study, of his attention to detail, a great team alongside him, all with many years of experience and the fact that he has performed the particular fusion operation, which is fairly new, over a hundred times with only one surgery that had complications which I believe were unrelated.

I met a cop recently (I only mention his occupation because fitness is a crucial part of his daily work) who had the same surgery from the same specialist, and he was back on the job after 6 weeks of recovery. That’s what I want.

I was going to write a spiel about some of my many past career successes, but it started looking like a memoire when I still have a good chunk of my career ahead of me. The crux of it was a saying I really like and that is probably all I really needed to say.

The harder and smarter I work, the luckier I get.

Your thoughts?

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Why don’t Auckland Hospitals Work Smarter Instead of Harder

A friend of mine was prepped for 2 days with nil by mouth a month or 2 ago for urgent cancer surgery. The first day she got bumped and the 2nd day was the start of a radiographers strike. Last night she was prepped for an 8 hour operation and got bumped due to a critical case that suddenly appeared. We thought she was criticial, but obviously that’s not for us to judge.

I’ve asked the question before “Is hospital the best place to be when you are sick?” and pretty  much decided unless it was a private hospital, possibly not. But of course most of us don’t have any choice especially as we get older.

It is nice to see that some things are improving. For example Auckland Health Board has decided to send some patients to private clinics for radiation treatment to reduce waiting times.

I had blogged previously about waiting times at North Shore Hospital based on experiences waiting with family members in A & E and subsequently in corridors in some cases for days, without being assigned to wards. Each time we were told that it was an exceptional case and we were just unlucky. A registrar was sick and therefore his team couldn’t operate was a common excuse. Think about it, an entire team doesn’t operate because one person doesn’t turn up? Maybe they were stretching the truth, being they are short staffed and can’t afford another registrar, and they didn’t turn up because they didn’t exist.

According to the reports, North Shore Hospital is improving and it is now only the 3rd worst in New Zealand. North Shore Hospital supports North Shore and Waitakere with an excess of 400,000 population and rapidly growing. Of course things will change with the new Super City, but the problems won’t go away.

As you can see in previous blogs I’ve written such as ‘76 Deaths, Surgical Mistakes in New Zealand Hospitals‘ I have been pushing for more specialized technology to streamline processes for many years. The technology has been around for a long time, yet we still seem to rely heavily on paper. Tablet and handheld computing has been around for a long time. Most of us use WiFi in the home, in cafe’s, at the airport and understand the power of dealing with information once, accurately and allowing instant access to anyone who needs it in a timely fashion. That’s how we live.

I now see bar codes on patient wrist bands, but I don’t see them being read by a handheld computer to check for allergies, conditions etc at the bedside. This technology could have saved many NZ lives at a tiny fraction of the cost of their lost lives, productivity etc.

When I started promoting this technology, it was with Pocket PC, Palm and Symbol technologies (handheld computers, 3D Bar Code Readers, Portable Printers, Digital Cameras which were being used in many US and European hospitals and that was 20 years ago!

Today there is superior technology such as the Panasonic Mobile Clinical Assistant CF-H1 which runs on Windows 7. The video is pretty corny but it really does illustrate how efficient it is to use mobile technology. Of course this technology has a rugged drop spec, is chemical resistant, lasts 6 hours on a standard battery.

This technology means everyone is in sync and has access to critical data on demand. Paper gets misplaced in hospitals. I had one visit with a daughter that was delayed by 90 minutes simply because someone had misplaced her file. Data can be shared with specialists and medical staff in and out of hospital, including images such as scans, x-rays, photos, test results, charts and graphs. Allergies and condition interactions can be monitored to minimise risk of causing new problems, doses can be confirmed, approvals provided remotely. Pretty much the whole world’s medical knowledge is available online today.

Today’s world should be about harnessing technology to work smarter rather than harder. I suspect the focus is on cost of the technology because our hospitals are run by administrators tasked with saving money. Of course they are largely man aged by politicians. If health is a major election platform every election, why is it that the performance is still so poor?

Next time you are in hospital, have a look at how they use or don’t use technology. Think about how you operate in your business. Think about what’s at stake and ask them why they do things the way they do.

We have national elections next year. They will be talking about improving the health system. Will they be talking about improving the ICT structure and putting information in the hands of the clinicians? Or will they be talking about saving money, improving the monitoring of staff performance and measuring waiting times in A&E?

We have an ageing population and growing population. They are going to need more services and we could increase our throughput, reduce patient risk, significantly improve outcomes by harnessing technology, working smarter rather than harder, expecting great results from staff working double shifts several times a week.

I’ve been reading

This week I had a short stay in hospital for a minor operation and have been resting up to make sure that I don’t pop any stitches. For a couple of days I was popping pain relief which had as much influence on my head as my body, then I decided I wanted clarity back and started reading.

I mean really reading. I finished a book I had started weeks ago and started another straight away. I really enjoyed myself. I also got into reading some more articles and read a quote by Nicholas Carr, from an article in The Atlantic, which really resonated with me, entitled Is Google Making Us Stupid?

The core of the article is that we have access to so many snippets of information and the ability to easily research any topic, that we don’t have to do any serious reading any more. In fact most of us don’t bother any more. I have been an avid reader most of my life, but these days I spend more and more time on the computer.

My business and personal life involves amongst other activities, reading, responding to and writing emails and spending a lot of time communicating via Twitter, LinkedIn and Facebook, plus many sites such as MySpace and Music Forte, where I hope an A&R person or singer will pick up some of my songs. It seems to be a race from one micro-communication and application to the next.

In his article, Carr wrote: “My mind now expects to take in information the way the Net distributes it: in a swiftly moving stream of particles. Once I was a scuba diver in the sea of words. Now I zip along the surface like a guy on a Jet Ski.” That sounded so much like what I do, what I revelled in.

But here’s the thing for me. I have read thousands of books over the years, from literature to politics, science, philosophy and psychology and much more. I have enjoyed the American and English classics, with some Kafka and Solzhenitsyn, lots of Science Fiction, and many university texts. They have given me a background from which to interpret all the bytes of information I now sample, to understand them and make sense of them.

Because you can think faster than you read, I was able to analyse, interpret question and process everything I set my eyes on, storing it for future reference. But here’s the thing, many people today are not building those backgrounds of data and knowledge.

Many teenagers don’t read books any more. Many tell me they can count the total number of books they have read in their lives, on the fingers of one hand. When they communicate, they abbreviate words to send text messages on their mobiles or send emails. Spelling has become poor and many people who have come to me looking for jobs, could not write a quality CV to introduce themselves. When I complained about my children’s spelling in their school assignments, teachers told me that it was concept and intent that mattered, not delivery. I’m going on a tangent, but things are changing and they may not be for the better.

When it comes to news, only a couple of people in my office read a newspaper, although most of them are graduates. If we didn’t have one in the office, most people would know nothing more than what they see on the TV news, when they bother to watch it.

I’ve counted myself lucky that I live in New Zealand where people have had a DIY attitude, based around the history of being a young country where people had to solve their own problems and find ways of doing things despite many obstacles, including being about as far away from the rest of the world as you can get.

Kiwis have been known as inventors and problem solvers and have been well accepted in business all over the world, where specialisation is becoming more common. Even here though, talent shortages are becoming obvious, especially as people find they can earn more overseas. Another reason imho, is that without an intellectual background, and moving away from the land and domestic skills that come with necessity, we are losing those skills.

Companies who made their older staff redundant and replaced them with young managers are finding that they may be lacking in maturity that comes from experience and learning intellectually, not just info bytes. This is costing them dearly. In many cases older workers are going back into the workforce for economic reasons and companies are reaping the benefit of their experience, but this comes hard as younger people often think they know everything and don’t need ‘wise counsel’.

The world economy may help us, bringing people home from their extended overseas experiences, looking for a better place to raise their kids and our isolation could be a good thing.

Specialisation is going nuts. A story in The Futurist earlier this year by Bruce Tow and David Gilliam gave an example of a surgeon who was only qualifed to repair knees injured during the playing of football. There is a new specialisation now starting to becom sought after, which is that of a ‘connector’. A connector is someone who can understand enough about a lot of disciplines and can act as an intermediary to help solve problems outside of the specialist spheres.

Without realising it, I have become one of those. Many people come to me for advice in how to solve business problems. They have people within their organisations with amazing specialist skills, but without  the ability to harness these people to and networks to get results. Often it seems really simple to me, with my background and of course an objectivity that comes from not being involved in the path that got them to their current position.

So I’ve been reading and I guess I’ve been waffling, but I’m allowed because this is my blog. Many people think that Twitter and all the other networking sites are a waste of time. For many people they are, because they don’t have the skills to access the wisdom and knowledge behind many of the shared messages. The people who really maximise the wealth of information on the net are those who have read and absorbed knowledge first. The ones who rise up as genuine consultants share real knowledge. They don’t need to fill their micro bytes with quotes and links from someone else, they can think for themselves, because they did their apprecticeships, they learned intellectually and by doing, failing and doing again.

Maybe it was just the painkillers and reading this will be a waste of time. But then I don’t think reading is ever a waste of time.

Finally the staff in the Waitemama Health Board speak out

As a footnote on my story yesterday, in this morning’s New Zealand Herald, senior doctors have finally spoken out, to the ‘disappointment’ of the Waitemata Health Board. I’ll bet they were disappointed. The Health Board say they have been working on it as fast as they can. But didn’t they close a whole floor of the hospital because they had insufficient staff? Now they are going to open a new ward.

At least it is now out in the open and we won’t hear any more stories of “It’s not usually this bad”, because we all know it is. The sad thing is that for the next few weeks at least, the newspapers, the woman’s magazines, TV and more are going to be full of sad stories about people who died because they couldn’t get their chemo or radiation treatments in time and now their cancers are invasive. We’ll hear about elderly people who didn’t make their 50th wedding anniversary because they didn’t get satisfactory care in time. I’ll put money on it that the Auckland and especially local nwespapers are going to be full of letters to the editor and many will be followed up as sad, sad stories.

The board will say “It’s not our fault, the government wouldn’t give us enough money.” The senior doctors, registrars and nurses will all be saying, “We told you over and over again, but all you cared about was budgets and efficiency.”

I have no problem with hospitals being run as a business, with controlled budgets and business plans, but let’s never forget what they are there for.

I do have one question though, and I wish my WordPress had a poll function, but then I doubt they would answer this question. Either way, here it is. To those people who work in our public hospitals. If you need surgery or have a serious medical condition, do you go to your public hospital, or do you go private? Why?

Sadly I am confident that for the majority, I already know the answer.

Again to those of you who work as staff in the hospitals, thank you so much for staying and not going oversees where you can earn at least twice as much money and in many cases function in a technological environment where most patients get their own drugs and not someone elses, where their files about their condition and allergies are available on demand and where far fewer people needlessly lose their lives. It must be very tempting sometimes to long for single shifts and an organisation that cares as much for their patients as they for saving money.

Now let the stories begin. I don’t want to sound cynical, at least any more than I already am, but it is election year this year isn’t it? There had better be some funds coming up for Auckland hospitals because health care is going to become an election issue.